Individual
DR. MARK ANTHONY MANUEL MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2001 S CALIFORNIA AVE, CHICAGO, IL 60608-2486
(773) 484-1201
Mailing address
345 N LA SALLE DR, UNIT 4407, CHICAGO, IL 60610-6101
(248) 210-8049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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